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SERENITYMIND CLINIC LLC
NPI 1811888407
Nurse Practitioner - Psychiatric/Mental Health in Cottage Grove, MN

Active since July 11, 2025
6818 91ST ST S, COTTAGE GROVE, MN 55016(651) 237-3319 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Serenitymind Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENITYMIND CLINIC LLC (NPI 1811888407) is a healthcare organization registered as a psychiatric/mental health in Cottage Grove, Minnesota and active in the NPI registry since July 2025. The organization lists Funsho King, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1811888407
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITYMIND CLINIC LLC
Location Address6818 91ST ST SCottage Grove, MN 55016-4184
Mailing Address6818 91st St SCottage Grove, MN 55016-4184 · (651) 237-3319
Phone(651) 237-3319
Organization SubpartNo
Authorized OfficialFunsho KingOwner Of Entity · (651) 237-3319
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1811888407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6818 91ST ST S, Cottage Grove, MN 55016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serenitymind Clinic LLC's NPI number?

The NPI number for Serenitymind Clinic LLC is 1811888407. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Serenitymind Clinic LLC located?

Serenitymind Clinic LLC is located at 6818 91st St S, Cottage Grove, MN 55016. The listed phone number is (651) 237-3319.

What is Serenitymind Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Serenitymind Clinic LLC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.